Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Gepubliceerd in:
Inleiding hoofdstuk lezen eerste hoofdstuk lezen

2023 | OriginalPaper | Hoofdstuk

12. Parafilieën

Auteurs : Dr. Wineke Smid, Drs. Klaartje Schepers, Drs. Eveline Schippers, Drs. Nikki Schouten

Gepubliceerd in: Seksuele problemen

Uitgeverij: Bohn Stafleu van Loghum

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Samenvatting

In dit hoofdstuk worden ontstaan, kenmerken, diagnostiek en behandeling van parafilieën besproken. Hoewel enige parafiele interesse veel voorkomt, is er maar een kleine groep mensen die zich veel of uitsluitend met parafiele seksualiteit bezighoudt. Een parafilie is echter pas een stoornis als iemand er zelf onder lijdt of handelt met een niet-instemmende ander. Behandeling van de parafiele interesse op zich heeft daarom in principe geen prioriteit. Het is echter wel mogelijk en zeker relevant als er sprake is van schade of gevaar voor de patiënt zelf of anderen. Openheid en oprechte interesse met betrekking tot de parafiele seksuele beleving van de patiënt zijn belangrijke kernwaarden voor de behandelaar van parafiele stoornissen. Het is de uitdaging om gezamenlijk met de patiënt (en eventueel de partner) uit te vinden hoe de seksualiteit een bevredigende vorm kan krijgen die geen schade of gevaar oplevert voor zichzelf of anderen.
vorige hoofdstuk Hyperseksualiteit
volgende hoofdstuk Genderdiversiteit
Voetnoten
1
Dit is een deductie uit verschillende bestaande onderzoeken; er zijn hiervoor geen specifieke prevalentiegegevens uit onderzoek beschikbaar. Prevalentie pedofilie ≈ 0,3 %; prevalentie seksueel delictgedrag ≈ 0,74 %, waarvan ongeveer de helft kindermisbruik betreft: prevalentie kindermisbruik ≈ 0,37 %. Van die misbruikplegers is een kwart tot de helft pedofiel: prevalentie pedofiele plegers ≈ 0,12 tot 0,18 %. Prevalentie pedofilie ≈ 0,3 %, prevalentie pedofiele plegers ≈ 0,12 tot 0,18 %, dus ≈ 40 tot 60 % van de pedofiele mannen zou pleger kunnen zijn [52].
 
Literatuur
1.
Joyal CC, Cossette A, Lapierre V. What exactly is an unusual sexual fantasy? Journal of Sexual Medicine. 2015;12(2):328–40.PubMed
2.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: Author; 2013.CrossRef
3.
4.
5.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed., text rev. American Psychiatric Association; 2022.
6.
Briken P, Fedoroff JP, Bradford JW. Why can’t pedophilic disorder remit? Arch Sex Behav. 2014;43(7):1237–9.PubMed
7.
Mundy CL, Cioe JD. Exploring the relationship between paraphilic interests, sex, and sexual and life satisfaction in non-clinical samples. Can J Hum Sex. 2019;28(3):304–16.
8.
Wurtele SK, Simons DA, Moreno T. Sexual interest in children among an online sample of men and women: prevalence and correlates. Sex Abuse-J Res Tr. 2014;26:546–68.
9.
10.
Krafft-Ebing R. Psychopathia sexualis, with especial reference to contrary sexual instinct: a medico-legal study. Stuttgart, Germany: Verlag; 1886. (7th ed. translated by Charles Gilbert Chaddock, F.A. Davis Co., 1894)
11.
Vasey PL, Abild M. A billion wicked thoughts: what the Internet tells us about sexual relationships. Arch Sex Behav. 2013;42:1101–3.
12.
James EL. Fifty shades of grey. New York, NY: Random House; 2011.
13.
De Graaf H. Seksuele problemen en parafilieën. In H. de Graaf & C. Wijsen redactie. Seksuele gezondheid in Nederland 2017. Utrecht: Rutgers; 2017.
14.
Schippers E, Smid WJ, Hoogsteder L, De Vogel V. Factor analysis with unusual sexual interests, a replication study in a representative population sample. Manuscript submitted for publication; 2022a.
15.
Schippers E, Smid WJ, Hoogsteder L, De Vogel V. Current theories on the etiology of deviant sexual interests: a systematic review. Manuscript in preparation; 2022b.
16.
Gieseler K, Loschelder DD, Friese M. What makes for a good theory? How to evaluate a theory using the strength model of self-control as an example. In: Sassenberg K, Vliek MLW, editors. Social psychology in action. Springer; 2019. p. 3–21.
17.
Critelli JW, Bivona JM. Women’s erotic rape fantasies: an evaluation of theory and research. J Sex Res. 2008;45(1):57–70.PubMed
18.
Smid WJ, Wever EC. Mixed emotions: an incentive motivational model of sexual deviance. Sexual Abuse. 2019;31(7):731–64.PubMed
19.
Finkelhor D, Araji S. Explanations of pedophilia: a four factor model. J Sex Res. 1986;22(2):45–161.
20.
Dunkley CR, Henshaw CD, Henshaw SK, Brotto LA. Physical pain as pleasure: a theoretical perspective. J Sex Res. 2020;57(4):421–37.PubMed
21.
Laws DR, Marshall WL. A conditioning theory of the etiology and maintenance of deviant sexual preference and behavior. In: Marshall WL, Laws DR, Barbaree HE, editors. Handbook of sexual assault. Springer; 1990. p. 209–29.
22.
McGuire RJ, Carlisle JM, Young BG. Sexual deviations as conditioned behaviour: a hypothesis. Behav Res Ther. 1964;2(2–4):185–90.PubMed
23.
Lussier P, Beauregard E, Proulx J, Nicole A. Developmental factors related to deviant sexual preferences in child molesters. J Interpers Violence. 2005;20(9):999–1017.PubMed
24.
Money J. Lovemaps: clinical concepts of sexual/erotic health and pathology, paraphilia, and gender transposition in childhood, adolescence, and maturity. New York: Prometheus Books; 1986.
25.
Alanko K, Salo B, Mokros A, Santtila P. Evidence for heritability of adult men’s sexual interest in youth under age 16 from a population-based extended twin design. J Sex Med. 2013;10(4):1090–9.PubMed
26.
Roszyk A, Łukaszewska B. The neuropsychological determinants of sexual crimes. Acta Neuropsychologica. 2011;9(4):369–81.
27.
Imhoff R, Banse R, Schmidt AF. Toward a theoretical understanding of sexual orientation and sexual motivation. Arch Sex Behav. 2017;46(1):29–33.PubMed
28.
Wang Z, Lang A. Reconceptualizing excitation transfer as motivational activation changes and a test of the television program context effects. Media Psychol. 2012;15(1):68–92.
29.
Malamuth NM, Check JV, Briere J. Sexual arousal in response to aggression: ideological, aggressive, and sexual correlates. J Pers Soc Psychol. 1986;50(2):330–40.PubMed
30.
Schippers EE, Smid WJ, Both S, Smit JH. Excitation transfer between sexual arousal and other emotions in a community sample. Arch Sex Behav. 2022:1–14.
31.
McPhail IV, Hermann CA, Fernane S, Fernandez YM, Nunes KL, Cantor JM. Validity in phallometric testing for sexual interests in children: a meta-analytic review. Assessment. 2019;26(3):535–51.PubMed
32.
Schippers E, Smid WJ, Hoogsteder L, Planting C, De Vogel. Pedophilia is associated with a lack of sexual interest in adults: meta-analyses and a systematic review. Manuscript submitted for publication; 2022b.
33.
Bartels RM, Beech AR, Harkins L, Thornton D. Assessing sexual interest in children using the Go/No-Go association test. Sexual Abuse. 2018;30(5):593–614.PubMed
34.
Brom M, Both S, Laan E, Everaerd W, Spinhoven P. The role of conditioning, learning and dopamine in sexual behavior: a narrative review of animal and human studies. Neurosci Biobehav Rev. 2014;38(1):38–59.PubMed
35.
Hoffmann H. Situating human sexual conditioning. Arch Sex Behav. 2017;46(8):2213–29.PubMed
36.
Hoffmann H, Janssen E, Turner SL. Classical conditioning of sexual arousal in women and men: effects of varying awareness and biological relevance of the conditioned stimulus. Arch Sex Behav. 2004;33(1):43–53.PubMed
37.
Lateef R, Jenney A. Understanding sexually victimized male adolescents with sexually abusive behaviors: a narrative review and clinical implications. Trauma Violence Abuse. 2021;22(5):1169–80.PubMed
38.
Simons DA, Wurtele SK, Durham RL. Developmental experiences of child sexual abusers and rapists. Child Abuse Negl. 2008;32(5):549–60.PubMed
39.
Walker AM, Kuperberg A. Pathways and patterns of entrance into BDSM. Arch Sex Behav. 2022;51(2):1045–62.PubMed
40.
Krüger THC, Kneer J. Neurobiological basis of sexual deviance. In: Craig LA, Bartels RM, editors. Sexual deviance: understanding and managing deviant sexual interest and paraphilic disorders. Wiley-Blackwell; 2021. p. 67–88.
41.
Waldura JF, Arora I, Randall AM, Farala JP, Sprott RA. Fifty shades of stigma: exploring the health care experiences of kink-oriented patients. Journal of Sexual Medicine. 2016;13(12):1918–29.PubMed
42.
Wilpert J. Self-reported versus diagnosed paraphilias in outpatient sexual offenders. J Forensic Psychiatry Psychol. 2018;29(2):252–64.
43.
Schippers EE, Smid WJ, Huckelba AL, Hoogsteder LM, Beekman AT, Smit JH. Exploratory factor analysis of unusual sexual interests. J Sex Med. 2021;18(9):1615–31.PubMed
44.
45.
Seto MC. The puzzle of male chronophilias. Arch Sex Behav. 2017;46(1):3–22.PubMed
46.
Schmidt AF, Banse R. (2022). Using indirect measures of sexual interest in forensic contexts: past, present, and future. In Uzieblo K, Smid WJ, McCartan K, editors. Challenges in the management of people convicted of a sexual offence. Palgrave Macmillan, Cham; 2022. pp. 67–83.
47.
McPhail IV, Olver ME, Brouillette-Alarie S, Looman J. Taxometric analysis of the latent structure of pedophilic interest. Arch Sex Behav. 2018;47(8):2223–40.PubMed
48.
Krueger RB, Kaplan MS. The paraphilic and hypersexual disorders: an overview. J Psychiatr Pract®. 2001;7(6):391–403.
49.
Schöttle D, Briken P, Tuescher O, Turner D. Sexuality in autism: hypersexual and paraphilic behavior in women and men with high-functioning autism spectrum disorder. Dialogues Clin Neurosci. 2022;19(4):381–93.
50.
51.
Gijs L. Daders en slachtoffers. In Smid WJ, Canton W, van Beek DJ, Gijs L, redactie. Zicht op zedendelinquenten: achtergronden, risicotaxatie en behandeling. Amsterdam, NL: Boom Uitgevers; 2020.
52.
Lee SC, Hanson RK. Updated 5-year and new 10-year sexual recidivism rate norms for Static-99R with routine/complete samples. Law Hum Behav. 2021;45(1):24.PubMed
53.
Baur E, Forsman M, Santtila P, Johansson A, Sandnabba K, Långström N. Paraphilic sexual interests and sexually coercive behavior: a population-based twin study. Arch Sex Behav. 2016;45(5):1163–72.PubMed
54.
Bondü R, Birke J. Links between aggressive sexual fantasies and presumably non-consensual aggressive sexual behavior when controlling for BDSM identity. Int J Confl Violence. 2020;14(1):1–18.
55.
Martin SM, Smith F, Quirk SW. Discriminating coercive from sadomasochistic sexuality. Arch Sex Behav. 2016;45(5):1173–83.PubMed
56.
Renaud CA, Byers ES. Relationship between sexual violence and positive and negative cognitions of sexual dominance. Sex Roles. 2005;53(3–4):253–60.
57.
Martin B, Dalzen R. The art of receiving and giving: the wheel of consent. Luminare press; 2021.
58.
Twohig MP, Crosby JM. Acceptance and commitment therapy as a treatment for problematic internet pornography viewing. Behav Ther. 2010;41(3):285–95.PubMed
59.
Briken P. An integrated model to assess and treat compulsive sexual behaviour disorder. Nat Rev Urol. 2020;17(7):391–406.PubMed
60.
Troelstra JA. Libidoremmende medicatie bij zedendelinquenten. Psyfar. 2020;15(3).
61.
Gaboraud E. Dissociation et dimension victimaire chez un pédophile: la thérapie EMDR peut-elle aider? European Journal of Trauma & Dissociation. 2019;3(1):63–8.
62.
McPhail IV, Olver ME. Interventions for pedohebephilic arousal in men convicted for sexual offenses against children: a meta-analytic review. Crim Justice Behav. 2020;47(10):1319–39.
63.
Ten Hoor NM. Treating cognitive distortions with EMDR: a case study of a sex offender. Int J Forensic Ment Health. 2013;12(2):139–48.
64.
Garcia FD, Thibaut F. Current concepts in the pharmacotherapy of paraphilias. Drugs. 2011;71:771–90.PubMed
65.
Hook JN, Reid RC, Penberthy JK, Davis DE, Jennings DJ. Methodological review of treatments for nonparaphilic hypersexual behavior. J Sex Marital Ther. 2014;40(4):294–308.PubMed
66.
Kaplan MS, Krueger RB. Diagnosis, assessment, and treatment of hypersexuality. J Sex Res. 2010;47(2–3):181–98.PubMed
67.
Rosenberg KP, Carnes P, O’Connor S. Evaluation and treatment of sex addiction. J Sex Marital Ther. 2014;40(2):77–91.PubMed
68.
69.
Hoogsteder LM, Schippers EE (2019). Zorgprogramma seksueel grensoverschrijdend gedrag volwassenen, kernmodule. Utrecht: De Waag.
70.
Gannon TA, Olver ME, Mallion JS, James M. Does specialized psychological treatment for offending reduce recidivism? A meta-analysis examining staff and program variables as predictors of treatment effectiveness. Clin Psychol Rev. 2019;73: 101752.PubMed
71.
Smid WJ. Future directions in the treatment of sexual self-regulation problems in people who have sexually offended. In Uzieblo K, Smid WJ, McCartan KF, editors. Challenges in the management of people convicted of a sexual offence. London: Palgrave; 2022.
72.
Thibaut F, De la Barra F, Gordon H, Cosyns P, Bradford JMW. The World federation of societies of biological psychiatry guidelines for the biological treatment of paraphilias. The World Journal of Biological Psychiatry. 2010;11:604–55.PubMed
73.
Wong JS, Gravel J. Do sex offenders have higher levels of testosterone? Results from a meta-analysis. Sexual Abuse. 2018;30(2):147–68.PubMed
74.
Bhugra D, Popelyuk D, McMullen I. Paraphilias across cultures: Contexts and controversies. J Sex Res. 2010;47(2–3):242–56.PubMed
Metagegevens
Titel
Parafilieën
Auteurs
Dr. Wineke Smid
Drs. Klaartje Schepers
Drs. Eveline Schippers
Drs. Nikki Schouten
Copyright
2023
Uitgeverij
Bohn Stafleu van Loghum
Boek
Seksuele problemen

Print ISBN: 978-90-368-2893-2

Elektronisch ISBN: 978-90-368-2894-9

Copyright: 2023

DOI
https://doi.org/10.1007/978-90-368-2894-9_12